Hossam Mostafa Abdelaziz Elshafei, QMHS MA CMS MA

Individual provider Active NPI Community Health Worker · Cleveland, OH

NPI 1619463528 · NPPES record last updated Apr 9, 2020

Key facts

NPI
1619463528
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
3500 Carnegie Ave
Cleveland, OH 44115
Phone
(440) 260-8300
NPI assigned
Jul 3, 2018
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X OH
Community Health Worker 172V00000X OH Yes

Addresses

Primary practice location

3500 Carnegie Ave
Cleveland, OH 44115

Mailing address

434 Eastland Rd
Berea, OH 44017-1217
Phone (440) 234-2006

Other providers in Cleveland, OH

All providers in Cleveland, OH · Community Health Worker in Ohio

Sources for this page

Verify at the official NPI Registry.